PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
The goal of this project is to support the realization of Swaziland's national vision and strategic plan for Neighborhood Care Points (NCPs) 2009-2013. NCPs are community-based sites where local pre-school age children come for food, supervised play and other basic services. The vision is that there will be a sufficient number and spread of NCPs that are certified as early childhood development centers and capacitated for the delivery of basic services to cover all communities in the nation.
This activity was initiated with COP 09 funds through a PIO with UNICEF and will be continued with COP 10 funding through an extension of that agreement.
In support of the NCP strategic plan, PEPFAR funds will be utilized to:
1. Ensure delivery of three basic support services to 10,000 young children; thereby contributing to the establishment of 200 additional NCPs that model the national vision; and,
2. Strengthen government capacity for monitoring and improving NCP services.
This activity is designed to complement inputs by government, communities, UNICEF, GFATM and other donors. The project builds COP achievements by reaching new NCPs and children, broadening support of the NCP strategy and incorporating service delivery lessons learned during the first year of implementation. In line with the national NCP strategy, this project contributes towards scaling up of services for vulnerable children and strengthening coordination, national leadership and local ownership.
This activity contributes to the goal and objectives of the impact mitigation pillar of PEPFAR Swaziland's Partnership Framework. The project aims to reach 10,000 vulnerable pre-school age children through NCPs in all four regions of Swaziland with basic health care interventions, Early Childhood Care and Development (ECCD), psychosocial Support (PSS), and hygiene and sanitation education. In so doing, this activity will increase the percentage of vulnerable children in Swaziland that are receiving basic support services.
The NCP strategy is a community-driven initiative supported by government and development partners. Government is taking leadership in seeking to provide a coherent framework for transforming NCPs into ECCD centers and hubs for the delivery of various basic services. This activity will help to establish functional NCPs that can model best practices and garner increased support from communities and government, while attracting additional resources for the NCP strategy.
The M&E plan relies on the national NCP database and M&E system that are to be strengthened with COP 09 funds. The M&E plan includes capacity building for key Government agencies and supports maintenance and use of the NCP database for program improvement. In line with the principle of the "three ones", the NCP M&E framework will complement the national M&E system and feed into the Kagogo (HIV administrative) centers in targeted chiefdoms. Data will be collected by NCP caregivers and quarterly reports will be produced and disseminated to inform program implementation. Field visits will be conducted by government officers, the M&E Officer, NCP focal persons from implementing partners and other UNICEF staff. The cost of the full time M&E Officer recruited with COP 09 funds will be shared by PEPFAR and UNICEF in the second year. This officer will work to build M&E capacity in government and will ensure all PEPFAR reporting requirements are met.
Child survival will be a cross cutting key issue as essential health care services will be delivered at the NCPs on Child Health Days.
This activity falls within the USG commitments under the PFIP objective "Increase the percentage of vulnerable children receiving basic support services on a continuous basis". The PEPFAR HKID priority actions in the upcoming implementation years are: increased data development and use; community support and coordination; and, improving and expanding quality service delivery.
Data development and use will be promoted by strengthening and supporting the national NCP database and system to track service provision for vulnerable children. M&E capacity will be built within the National Children's Coordination Unit, the Department of Social Welfare, NERCHA and the Ministry of Tikhundla (Local) Administration and Development to manage data for improvement of programs serving vulnerable children.
Establishing functional NCPs with quality service delivery will require committed community support and trained caregivers. Criteria for selection of PEPFAR supported NCPs will include size of child population, evidence of community commitment and presence of caregivers. Community support will be encouraged and reliable service provision will help to sustain that support. Collaboration amongst government, communities and other partners will improve the coordination of services.
The bulk of resources for this activity will be directed to providing quality services to vulnerable children. In particular, 10,000 young children at 200 NCPs across Swaziland will receive the following three basic support services:
Access to basic health through Child Health Days: this component will support one 'national child health day', during which outreach teams of health care workers work with the community-based Rural Health Motivators at NCPs to provide immunization, vitamin A supplementation, deworming, growth monitoring, referrals and health education. During these visits, caregivers will also be provided with some training in first aid and management of minor ailments, such as oral rehydration therapy for diarrhea.
Early Child Care Development (ECCD) and PSS: PEPFAR funds will be used to procure ECCD and PSS teaching, learning and play supplies and equipment. UNICEF and other partners are supporting the training of NCP caregivers to provide structured early learning and PSS through play and recreation. Longer term efforts will be pursued with government to establish NCP as certified ECCD centers.
Participatory Hygiene education: This component will support participatory hygiene education for 1,000 caregivers and 10,000 children at the 200 NCPs. The intervention will include provision of soap, information and other needed materials as well as campaigns to inform, and motivate the communities to improve sanitation and hygiene practices. Due to budget constraints ventilated improved pit latrine construction is not currently included in the project. However, there continues to be a great need for adequate sanitation facilities at all NCPs and PEPFAR is prepared to support the construction of additional latrines should additional funds become available.
NCPs have been challenged by an unclear mandate, inconsistent community ownership and commitment, varied standards of service, high turnover among NCP caregivers and a lack of resources. The NCP strategy was designed elicit broad collaboration and improved coordination to address these constraints. The activities described above are intended to advance the national NCP strategy and to provide sustained services to large numbers of vulnerable children within their own communities.
